Individual
MRS. SIERRA JO NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 ROCKINGHAM CIR, ORLANDO, FL 32808-3309
(407) 779-4175
Mailing address
2916 ROCKINGHAM CIR, ORLANDO, FL 32808-3309
(407) 779-4175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
17
FL
Enumeration date
01/16/2015
Last updated
01/16/2015
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